Self-reporting/outside providers SUD Initiation and Engagement

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    • Type: EC eCQMs - Eligible Clinicians
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • Elise George
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      Thank you for your inquiry regarding CMS137v13 (2025 performance period). The logic is specified such that if the providers are sharing an EHR or if data is being shared through Health Information Exchange, all providers that have access to the data would receive credit.

      Please refer to the measure specification to review the measure requirements: https://ecqi.healthit.gov/sites/default/files/ecqm/measures/CMS137v13.html. If you have questions regarding implementing the measure, you may refer to the "Implementation Checklist for eCQM Annual Update" for additional guidance. These resources can be found in the eCQI Resource Center: https://ecqi.healthit.gov/ep-ec?qt-tabs_ep=ecqm-resources&global_measure_group=eCQMs.
      Show
      Thank you for your inquiry regarding CMS137v13 (2025 performance period). The logic is specified such that if the providers are sharing an EHR or if data is being shared through Health Information Exchange, all providers that have access to the data would receive credit. Please refer to the measure specification to review the measure requirements: https://ecqi.healthit.gov/sites/default/files/ecqm/measures/CMS137v13.html . If you have questions regarding implementing the measure, you may refer to the "Implementation Checklist for eCQM Annual Update" for additional guidance. These resources can be found in the eCQI Resource Center: https://ecqi.healthit.gov/ep-ec?qt-tabs_ep=ecqm-resources&global_measure_group=eCQMs .
    • CMS0137v13

      Does SUD treatment with outside providers count towards either numerator or denominator criteria for this measure? For example if a patient self-reports a new SUD episode with an outside provider, can that be documented to satisfy the denominator criteria? Similarly, if a patient self-reports that they initiated SUD treatment with an outside entity, can they be eligible for numerator 2 (engagement)? Or could they initiate SUD treatment and then self-report engagement in ongoing treatment with an outside entity to satisfy numerator criteria?

            Assignee:
            AIR EC eCQM Team
            Reporter:
            Elise George
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              Created:
              Updated:
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